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� iiion For <br /> PUBLIC �RKS PERMIT Date � <br /> PUBLIC WORKS DEPARTMENT public Nbrks Permit M <br /> 3200 Cedar Sireet <br /> Evorett,WA 98201 259-BB70 Building Permit M <br /> NPE OR PRINT ONLY Public works Fee 5 <br /> Owner ��� Plan Check No: C 54817 SEPA Phone <br /> Applicat.Date: 04/14/97 <br /> Job Addree:�: 14b1 hALM AVE <br /> Owner: BAOWN J ERNEST phone <br /> Appliwnt MF , Tenxnt: <br /> Propoaed L'ee: SINCLE FAMILY RESIDENCE <br /> Deec. of Work: <br /> Describe Proposed Work ADDITION TO HOUSE AND CARAGE ADDITION I � I <br /> W <br /> OFFICE SET JOB SET � <br /> � <br /> APPROVED FOR PERMIT: DATE_/_/_ BY .w <br /> VJ <br /> PROJECT ADDRESS(if known) M <br /> Attaeh four(4)copies ol plans lor proposed work-Oraw to scale and nate 1he following if applicable: ,i' <br /> 'Property Unes 'Outline and dimensions ol all existing and proposed structures on ihe lot •Existing and proposed utilities O <br /> 'Centerline of street •Indicate North 5how any proposed grading changes 5how measurements � <br /> DO NOT WRITE BELOW THIS LINE <br /> PERMIT CONDITIONS: Z <br /> 1.All calls for inspection shall be made 24 hours in advance- phone 259-8810. O <br /> 2.All work shall be performed in accordance with this permit and current City of Everett Desiyn and <br /> Construction Standards and Specifications. <br /> 3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-800-424-5555. ` <br /> r- <br /> �v �,J I���,rwt;k �b...,�e�. � <br /> F"� � <br /> a <br /> .— ��,ti, e, p (�� b,� �r�,��I � -� <br /> CJ�G'�I(t+�e S��S�,.✓C� v✓t G�e� v( e�.J ae�c i�'iCnn <br /> -�-o ���- U 1?C� <br /> ACKNOWL£DGEMENT OF CONDRIONS <br /> Tha undersigned owner/applicant hereby agmes to hold and save hartnless <br /> the Ciry of Everett from any and all claime for damages,costs,expenses,or <br /> roved for Construction Date �uses ot action that may arise becausa ot installation and maintenance ol <br /> �P ihe improvement or other rigM-o���•��••use hereto appiied la and lurther agrees <br /> to remove samo upon nolice imm tl�A Ciry and to repiace public property <br /> damaged thereby. <br /> FINAL�NSPECTION Date <br /> Approved az Constructed <br /> Signatura ol App�icart - Date <br /> WORK AUTHORIZED BY THIS PERMIT MUST BE STARTED WITHIN 180 DAYS OF DATE PERMIT IS ISSUEO AND THERFAFTEfl IS TO BE�IIJGENTLY PURSUED TO <br /> COMPLETION.THIS PERMIT MAY BE CANCELLED BY THE CITY UPON ANY STOPPAGE OF WORK ON TH�S PR0.IECT OVER 90 DAYS CJRATION. <br />